SANTA RITA NURSING AND REHABILITATION CENTER (GREEN VALLEY, AZ) Detailed Nursing Home Profile

Complaint Deficiency

Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give each resident enough fluids to keep them healthy and prevent dehydration
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Potential for minimal harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Few
An approved automatic sprinkler system connected to the fire alarm system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.690
State:	0.833

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.700
Arizona:	0.897

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.390
Arizona:	1.725

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

Here:	0.130
State:	0.113

Number Therapy Hours Per Resident Per Day

Here:	0.130
Arizona:	0.118

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	17.0%
Arizona:	15.4%

Percent of long-stay residents who self-report moderate to severe pain

Here:	20.7%
Arizona:	14.8%

Percent of long-stay high-risk residents with pressure ulcers

Here:	3.8%
State:	6.8%

Percent of long-stay residents who lose too much weight

Here:	24.6%
Arizona:	7.1%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	2.8%
State:	4.8%

Percent of long-stay residents with a urinary tract infection

This Nursing Home:	6.2%
Arizona:	6.8%

Percent of long-stay residents who have depressive symptoms

Here:	8.5%
Arizona:	4.8%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	3.1%
Arizona:	3.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
Arizona:	96.5%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	100.0%
Arizona:	96.0%

Percent of short-stay residents who self-report moderate to severe pain

Here:	27.8%
Arizona:	27.8%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.3%
State:	1.0%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	98.5%
Arizona:	90.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

Here:	98.9%
State:	89.0%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	4.0%
State:	2.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	12.5%
Arizona:	23.8%

SANTA RITA NURSING AND REHABILITATION CENTER - GREEN VALLEY, AZ

Complaint Deficiency

Staff Information

Quality Measures

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